For submucosal lesions in the gastric fundus, with echotexture same as the spleen and extragastric under endoscopic ultrasound (EUS) examination, especially in patients with the history of splenectomy, accessory spleen
should be suspected.
In addition, a centimetric accessory spleen
adjacent to the lower pole was detected (Figure 1(b)).
Ohta, "A rare case of hemangiomatosis of the spleen and intrapancreatic accessory spleen
," Abdominal Imaging, vol.
is an anatomic variant observed time and again in cadaveric dissection.
Evolution of the CT imaging findings of accessory spleen
Other squamous epithelium-lined cysts that enter into the differential diagnosis include lymphoepithelial cysts, epidermoid cysts of intrapancreatic accessory spleen
, and dermoid cysts.
For example, in one of our cases gastric diverticulum was misdiagnosed initially as an accessory spleen
. As reported previously, because of its location, stomach diverticula may mimic solid or cystic lesions of the left adrenal gland [6, 7].
exists in about 10% of the general population.
An accessory spleen
which can be present in this location was excluded by the absence of lymphoid follicles in multiple sections.
Epidermoid cyst occurring in a pancreatic accessory spleen
. J Clin Gastroenterol 1991; 13:362-364.
It may be due to breakdown of the attachment cord or represent a rare variant of an accessory spleen